Evidence map›Paper›PMID 31296586›Full record

Trial reportJournal of neurology, neurosurgery, and psychiatry2019

Long-term safety and efficacy of deutetrabenazine for the treatment of tardive dyskinesia.

Hubert H Fernandez, David Stamler, Mat D Davis, Stewart A Factor, Robert A Hauser, Joohi Jimenez-Shahed, William G Ondo, L Fredrik Jarskog, Scott W Woods, Danny Bega and 3 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurology, neurosurgery, and psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02198794 (An Open-Label, Long-Term Safety Study of SD-809), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02198794 phase3completednot on this map

An Open-Label, Long-Term Safety Study of SD-809 (Deutetrabenazine) for the Treatment of Moderate to Severe Tardive Dyskinesia

TypeinterventionalSponsorAuspex Pharmaceuticals, Inc.Ran2014 to 2020Enrolled343ConditionsTardive DyskinesiaArmsSD-809, Placebo
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Real-world experience with Deutetrabenazine management in patients with Huntington's disease using video-based telemedicine.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Pathophysiology, prognosis and treatment of tardive dyskinesia.Therapeutic advances in psychopharmacology · 2022
    Review
  18. Article
  19. Review
  20. Tardive Dyskinesia in Older Persons Taking Antipsychotics.Neuropsychiatric disease and treatment · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 12 institutions in 2 countries.

Hubert H FernandezCenter for Neurological Restoration, Cleveland Clinic Foundation, Cleveland, Ohio, USA fernanh@ccf.org.
David StamlerFormer employee of Teva Pharmaceuticals, La Jolla, California, USA.
Mat D DavisTeva Pharmaceuticals, Frazer, Pennsylvania, USA.
Stewart A FactorJean and Paul Amos Parkinson's Disease and Movement Disorder Program, Emory University School of Medicine, Atlanta, Georgia, USA.
Robert A HauserUniversity of South Florida Parkinson's Disease and Movement Disorders Center, Tampa, Florida, USA.
Joohi Jimenez-ShahedBaylor College of Medicine, Houston, Texas, USA.
William G OndoMethodist Neurological Institute, Houston, Texas, USA.
L Fredrik JarskogUniversity of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Scott W WoodsYale University School of Medicine, New Haven, Connecticut, USA.
Danny BegaNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Mark S LeDouxUniversity of Tennessee Health Science Center, Memphis, Tennessee, USA.
David R ShprecherUniversity of Utah, Salt Lake City, Utah, USA.
Karen E AndersonGeorgetown University, Washington, District of Columbia, USA.
Teva Pharmaceuticals (Spain) · ESBanner Sun Health Research Institute · USBaylor College of Medicine · USEmory University · USGeorgetown University · USHouston Methodist · USNeurological Surgery · USNorthwestern University · USUniversity of North Carolina at Chapel Hill · USUniversity of South Florida · USUniversity of Tennessee Health Science Center · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Phase 3 trial of inosine for Parkinson's disease CCCU01NS090259 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI SCHWARZSCHILD, MICHAEL A · 2015 to 2019
$16.9M
Dystonia CoalitionU54TR001456 · NCATS · EMORY UNIVERSITY · PI JINNAH, HYDER A · 2015 to 2016
$2.5M
Genetics and Biology of CIZ1 in Cervical DystoniaR01NS082296 · NINDS · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI LEDOUX, MARK S · 2013 to 2016
$1.3M
The Role of UBTF in Undiagnosed Neurodevelopmental DisordersR21GM118962 · NIGMS · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI HORI, RODERICK T · 2016 to 2017
$456k
NCATS NIH HHS U54 TR001456NCATS NIH HHS UL1 TR001863NIGMS NIH HHS R21 GM118962NINDS NIH HHS R01 NS082296NINDS NIH HHS U01 NS090259
6 · The paper itself

Abstract

objectiveTo evaluate the long-term safety and efficacy of deutetrabenazine in patients with tardive dyskinesia (TD).

methodPatients with TD who completed the 12 week, phase 3, placebo-controlled trials were eligible to enter this open-label, single-arm study. The open-label study consisted of a 6 week dose-escalation phase and a long-term maintenance phase (clinic visits at Weeks 4, 6 and 15, and every 13 weeks until Week 106). Patients began deutetrabenazine at 12 mg/day, titrating up to a dose that was tolerable and provided adequate dyskinesia control, based on investigator judgement, with a maximum allowed dose of 48 mg/day (36 mg/day for patients taking strong cytochrome P450 2D6 (CYP2D6) inhibitors). Safety measures included incidence of adverse events (AEs) and scales used to monitor parkinsonism, akathisia/restlessness, anxiety, depression, suicidality and somnolence/sedation. Efficacy endpoints included the change in Abnormal Involuntary Movement Scale (AIMS) score (items 1 to 7) from baseline and the proportion of patients rated as 'Much Improved' or 'Very Much Improved' on the Clinical Global Impression of Change.

resultsA total of 343 patients enrolled in the extension study, and there were 331 patient-years of exposure in this analysis. The exposure-adjusted incidence rates of AEs with long-term treatment were comparable to or lower than those observed in the phase 3 trials. The mean (SE) change in AIMS score was -4.9 (0.4) at Week 54 (n = 146), - 6.3 (0.7) at Week 80 (n = 66) and -5.1 (2.0) at Week 106 (n = 8).

conclusionsOverall, long-term treatment with deutetrabenazine was efficacious, safe, and well tolerated in patients with TD. TRIAL REGISTRATION NUMBER: NCT02198794.

Indexed as

AdultAgedAnti-Dyskinesia AgentsAntipsychotic AgentsCytochrome P-450 CYP2D6 InhibitorsDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMaleMiddle AgedMood DisordersPsychotic DisordersTardive DyskinesiaTetrabenazineTreatment OutcomeAnti-Dyskinesia AgentsAntipsychotic AgentsCytochrome P-450 CYP2D6 InhibitorsdeutetrabenazineTetrabenazinedeutetrabenazinemovement disorderstardive dyskinesiavmat2 inhibitor

Identifiers

PMID31296586
PMCPMC6902058
OpenAlexW2960039218

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.